Individual
DAVID JEROME LUBBERS
Active
Individual
DAVID JEROME LUBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24507
KY
2085R0202X
Diagnostic Radiology Physician
Primary
24507
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060564
—
OH
05
—
0592569
—
OH
01
—
300013439
RRMC
—
05
—
64245079
—
KY
Enumeration date
08/22/2005
Last updated
08/07/2013
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